Emergency Medicine
- Physical examination in dyspnea (December 2017)
Errors occurred in Shellenberger RA, Balakrishnan B, Avula S, Ebel A, Shaik S. Diagnostic value of the physical examination in patients with dyspnea. Cleve Clin J Med 2017; 84(12):943–950.
- A 67-year-old woman with bilateral hand numbness
Her history includes type 2 diabetes mellitus, dyslipidemia, hypertension, diastolic heart failure, and thyroid surgery.
- A 75-year-old with abdominal pain, hypoxia, and weak pulses in the left leg
Workup revealed the patient had both arterial and venous thrombosis. What was the cause?
- Hypothermia and severe first-degree heart block
A 96-year-old woman with hypertension, diabetes, and dementia was found unresponsive and was transferred to the hospital.
- High users of healthcare: Strategies to improve care, reduce costs
A minority of patients called “high users” consume a lot of healthcare, especially in the emergency department. But therein lies an opportunity.
- A 50-year-old woman with new-onset seizure
After prodromal symptoms, she lost consciousness for about 1 minute, with jerking.
- Osborn waves of hypothermia
The differential diagnosis includes Brugada syndrome, hypercalcemia, and early repolarization syndrome.
- Acute monocular vision loss: Don’t lose sight of the differential
An 83-year-old man woke up one morning unable to see out of his left eye; 6 hours earlier it had been normal.
- Ring-enhancing cerebral lesions
The patient has poorly controlled HIV, seizures, and brain lesions. Is Histoplasma or Toxoplasma the cause of the lesions?